CDIP PDF GUIDE & ACTUAL CDIP TEST PDF

CDIP PDF Guide & Actual CDIP Test Pdf

CDIP PDF Guide & Actual CDIP Test Pdf

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Tags: CDIP PDF Guide, Actual CDIP Test Pdf, New CDIP Test Pattern, CDIP Test Questions, New CDIP Mock Test

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Actual CDIP Test Pdf - New CDIP Test Pattern

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AHIMA Certified Documentation Integrity Practitioner Sample Questions (Q14-Q19):

NEW QUESTION # 14
Which of the following sources provide external benchmarks to examine the effectiveness of a facility's clinical documentation program?

  • A. American Health Information Management Association
  • B. Medicare Provider Analysis and Review
  • C. Health Care Financing Administration
  • D. Agency for Healthcare Research and Quality

Answer: D

Explanation:
Explanation
The Agency for Healthcare Research and Quality (AHRQ) provides external benchmarks to examine the effectiveness of a facility's clinical documentation program by developing and disseminating quality indicators (QIs) that measure various aspects of health care quality, such as patient safety, outcomes, efficiency, and effectiveness. These QIs are based on administrative data and can be used to compare the performance of different health care providers or facilities across the nation. The QIs include inpatient quality indicators (IQIs), patient safety indicators (PSIs), prevention quality indicators (PQIs), and pediatric quality indicators (PQIs). These QIs can help clinical documentation improvement (CDI) programs identify areas of improvement, monitor trends, and evaluate the impact of CDI interventions on health care quality 2.
References: 1: Clinical Documentation Improvement Programs: Quality, Efficiency | Deloitte US Analysis 2 2:
AHRQ Quality Indicators 3


NEW QUESTION # 15
A query should be generated when the documentation is

  • A. consistent
  • B. complete
  • C. legible
  • D. conflicting

Answer: D

Explanation:
Explanation
A query should be generated when the documentation is conflicting, meaning that there is contradictory or inconsistent information in the medical record that may affect the accuracy of coding, quality reporting, or reimbursement. For example, if the documentation in the progress notes differs from the documentation in the discharge summary, or if different providers document different diagnoses or procedures for the same patient, a query may be needed to resolve the discrepancy and obtain clarification from the source of the documentation. A query should not be generated when the documentation is legible, consistent, or complete, as these are desirable characteristics of documentation that do not require further clarification or verification.
References:
CDIP Exam Content Outline (https://www.ahima.org/media/1z0x0x1a/cdip-exam-content-outline.pdf) Accurate Documentation is Essential - Knowing When to Query your Providers1


NEW QUESTION # 16
Which of the following may make physicians lose respect for clinical documentation integrity (CDI) efforts and disengage?

  • A. Providing many lectures, newsletters, tip sheets, and pocket cards for physician education
  • B. CDI practitioners sending multiple queries to hospitalist physicians
  • C. Inconsistent clinically relevant queries
  • D. The physician advisor/champion's interventions with noncompliant physicians

Answer: C

Explanation:
Explanation
Inconsistent clinically relevant queries may make physicians lose respect for CDI efforts and disengage because they may perceive them as irrelevant, redundant, or contradictory. Clinically relevant queries are those that affect the quality of care, patient safety, severity of illness, risk of mortality, or reimbursement.
Inconsistent queries may result from lack of standardization, conflicting guidelines, poor communication, or lack of clinical validation. To avoid inconsistency, CDI practitioners should follow best practices such as using evidence-based criteria, adhering to query policies and procedures, collaborating with coding and quality staff, and seeking feedback from physicians and physician advisors 2.
References: 1: AHIMA CDIP Exam Prep, Fourth Edition, p. 136 3 2: Proactive CDI: Tackling the Problem of Physician Engagement 4


NEW QUESTION # 17
The correct coding for heart failure with preserved ejection fraction is

  • A. I50.20 Unspecified systolic (congestive) heart failure
  • B. 150.32 Chronic diastolic (congestive) heart failure
  • C. I50.30 Unspecified diastolic (congestive) heart failure
  • D. I50.9 Heart failure, unspecified

Answer: C

Explanation:
Explanation
According to the ICD-10-CM Official Guidelines for Coding and Reporting FY 2023, heart failure with preserved ejection fraction (HFpEF) is also known as diastolic heart failure or heart failure with normal ejection fraction1. The code category for diastolic heart failure is I50.3-, which includes unspecified diastolic (congestive) heart failure (I50.30), acute diastolic (congestive) heart failure (I50.31), chronic diastolic (congestive) heart failure (I50.32), and acute on chronic diastolic (congestive) heart failure (I50.33)1. If the documentation does not specify the acuity of the diastolic heart failure, the default code is I50.301. Therefore, the correct coding for heart failure with preserved ejection fraction is I50.30.
References:
ICD-10-CM Official Guidelines for Coding and Reporting FY 20231


NEW QUESTION # 18
An otherwise healthy male was admitted to undergo a total hip replacement as treatment for ongoing primary osteoarthritis of the right hip. During the post-operative period, the patient choked on liquids which resulted in aspiration pneumonia as shown on chest x-ray.
Intravenous antibiotics were administered, and the pneumonia was
monitored for improvement with two additional chest x-rays. The patient was discharged to home in stable condition on post-operative day 5.
Final Diagnoses:
1. Primary osteoarthritis of right hip status post uncomplicated total hip replacement
2. Aspiration pneumonia due to choking on liquid episode
What is the correct diagnostic related group assignment?

  • A. 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC
  • B. 470 Major Joint Replacement or Reattachment of Lower Extremity without MCC
  • C. 553 Bone Diseases and Arthropathies with MCC
  • D. 179 Respiratory Infections and Inflammations without CC/MCC

Answer: A

Explanation:
Explanation
The correct diagnostic related group (DRG) assignment for this case is 469 Major Joint Replacement or Reattachment of Lower Extremity with MCC. This is because the principal diagnosis is primary osteoarthritis of right hip status post uncomplicated total hip replacement, which belongs to the Major Diagnostic Category (MDC) 08 Diseases and Disorders of the Musculoskeletal System and Connective Tissue. The DRG 469 is assigned to cases with this MDC and a surgical procedure code for major joint replacement or reattachment of lower extremity. The secondary diagnosis of aspiration pneumonia due to choking on liquid episode qualifies as a major complication or comorbidity (MCC), which increases the relative weight and payment for the DRG. The MCC is determined by applying the Medicare Code Editor (MCE) software, which checks the validity and compatibility of the diagnosis codes and assigns them to different severity levels based on the CMS Severity-Diagnosis Related Group (MS-DRG) definitions manual 2.
References: 1: AHIMA CDIP Exam Prep, Fourth Edition, p. 133 3 2: CMS MS-DRG Definitions Manual, Version 38.0, p. 8-9 4


NEW QUESTION # 19
......

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